• 제목/요약/키워드: functional movement

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미세전류치료와 초음파치료가 슬관절전치환술 후 통증경감과 기능회복에 미치는 영향 (The Effects of Microcurrent Treatment and Ultrasound Treatment on the Pain Relief and Functional Recovery after Total Knee Replacement)

  • 조운수;김용남;김용성;황태연;진희경
    • The Journal of Korean Physical Therapy
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    • 제24권2호
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    • pp.118-126
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    • 2012
  • Purpose: The purpose of this study was to investigate pain relief and functional recovery after total knee replacement. Methods: The treatment was performed by dividing individuals into a control group ($n_1=5$), ultrasound treatment group ($n_2=5$), and micro-current treatment group ($n_3=5$). The control group applied the hot pack for 15 minutes, Transcutaneous Electrical Nerve Stimulation (TENS) for 15 minutes, and Continuous Passive Movement (CPM) for 40 minutes. The ultrasound therapy group applied the frequency of 1 MHz, intensity of 1.0 $W/cm^2$ for five minutes following the same treatment as the control group. The micro-current therapy group applied the intensity of 25 ${\mu}A$, and pulsation frequency 5 pps for 15 minutes following the same treatment as the control group. After treatment, Visual Analogue Scale (VAS), Korean Western Ontario and McMaster Universities Arthritis Index (K-WOMAC), Berg Balance Scale (BBS), Range of Movement (ROM) and wound length was measured. Results: VAS showed significant effect in the control group and micro-current therapy group during the treatment period. According to the treatment of K-WOMACK, BBS, ROM, and Healing wounds showed main effects between groups. Conclusion: According to the results of this study, data showed improvement of pain relief, wound healing effects, and range of motion recovery. Thus, these selected treatments were effective after total knee replacement. In other words, electrical treatment continues to influence pain relief and functional recovery after total knee replacement.

척수 손상 쥐에 실시한 특정 과제 운동이 운동 행동에 미치는 영향 (Effects of Specific Exercises on Motor Function Recovery In Rats With Experimental Spinal Cord Injury)

  • 전경희
    • 한국전문물리치료학회지
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    • 제18권1호
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    • pp.93-103
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    • 2011
  • This study was implemented to verify the feasibility of motor function recovery and the appropriate period for therapy. The research began with spinal laminectomy of 40 white rats of Sprague-Dawley breed and induced them spinal crush injury. Following results were obtained by using the modified Tarlov test (MTT), Basso, Beattle, Bresnahan locomotor rating scale (EBB scale) and modified inclined plate test (MIPT). First, the measurement using the MTT confirm that the most severe aggravation and degeneration of functions are observed two days after induced injury, and no sign of neuromotor function recovery. Second, better scores were achieved by open-ground movement group on BBB locomotor rating scale test, and weight-bearing on inclined plate group show better performance on MIPT. Third, both BBB and MIPT scale manifested the peak of motor function recovery during 16th day after the injury and turn into gradual recovery gradient during 16th to 24th. Fourth, the control group showed functional recovery, however, the level of recovery was less significant when compared with group open-ground movement group and weight-bearing on inclined plate group. Hence, it was clearly manifested that the lumbar region of the spinal cord had shown the best performance when its functions were measured after the execution of specific physical training; therefore it indicated the possibility of learning specific task even in damaged lumbar regions. Thus it is expected to come out with better and more effective functional recovery if concentrated physical therapy was applied starting 4 days after the injury till 16 days, which is the period of the most active recovery.

The influence of horizontal cephalic rotation on the deviation of mandibular position

  • Katayama, Naoto;Koide, Kaoru;Koide, Katsuyoshi;Mizuhashi, Fumi
    • The Journal of Advanced Prosthodontics
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    • 제10권6호
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    • pp.401-407
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    • 2018
  • PURPOSE. When performing an occlusal procedure, it is recommended that the patient should be sitting straight with the head in a natural position. An inappropriate mandibular position caused by an incorrect occlusal record registration or occlusal adjustment can result in damaged teeth and cause functional disorders in muscles and temporomandibular joints. The purpose of this study was to clarify the influence of horizontal cephalic rotation on mandibular position by investigating the three-dimensional positions of condylar and incisal points. MATERIALS AND METHODS. A three-dimensional jaw movement measurement device with six degrees of freedom (the WinJaw System) was used to measure condylar and incisal points. The subjects were asked to sit straight with the head in a natural position. The subjects were then instructed to rotate their head horizontally $0^{\circ}$, $10^{\circ}$, $20^{\circ}$, $30^{\circ}$, $40^{\circ}$, $50^{\circ}$and $60^{\circ}$ in the right or left direction. RESULTS. The results indicated that horizontal cephalic rotation made the condyle on the rotating side shift forward, downward, and toward the inside, and the condyle on the counter rotating side shift backward, upward, and toward the outside. Significant differences in deviations were found for angles of rotation higher than $20^{\circ}$. The incisal point shifted in the forward and counterrotating directions, and significant differences were found for angles of rotation higher than $20^{\circ}$. CONCLUSION. The mandibular position was altered by horizontal cephalic rotations of more than $20^{\circ}$. It is essential to consider the possibility of deviation of the mandibular position during occlusal procedures.

줄사다리를 이용한 기능적 운동이 남자대학생의 뇌파 활성에 미치는 영향 (Effect of Functional Exercise Using Linear Ladder on EEG Activities in College Men)

  • 정석률;이해림;이성기
    • 한국자연치유학회지
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    • 제11권2호
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    • pp.79-84
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    • 2022
  • 배경: 운동은 운동기술을 습득하는 과정에서 학습 및 경험을 통해 뇌세포 생성에 영향을 미치며, 뇌기능 향상에 도움이 된다. 뇌기능을 분석하는 방법인 뇌파의 활성도를 통해 운동에 어떠한 영향을 미치는지를 과학적으로 검증이 필요하다. 목적: 적합한 환경에서 복합적이고 기능적인 줄 사다리 운동을 적용하였을 때 뇌파 활성에 미치는 긍정적인 효과를 과학적으로 규명하고자 한다. 방법: 남자대학생 30명을 모집 후 줄사다리운동집단, 트레드밀운동집단, 통제집단으로 나누어 10주간 운동을 적용하여 반복측정하였다. 결과: 운동 적용 시 알파파의 좌측 전전두엽에서 그룹 간에 통계적으로 유의한 변화가 나타났다(p < .05). 결론: 규칙적인 운동적용 시 뇌파에 긍정적인 영향을 미치지만, 복잡한 패턴을 적용하여 하지의 기능적 움직임을 만들어내는 줄 사다리 운동이 전통적인 유산소운동과 비교하여 뇌기능에 좋은 영향을 미친다고 볼 수 있다.

프로 골프선수의 TPI Level 1 Test Score에 따른 경기력 수준 분석 (Relationship Between Titleist Performance Institute Level 1 Test and the Performance of Professional Golf Players)

  • 김재은;도광선
    • 대한통합의학회지
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    • 제10권2호
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    • pp.27-35
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    • 2022
  • Purpose : The purpose of this study is to analyze the correlation between the TPI Level 1 test and the performance of KPGA professional golf players. Methods : In 2019, 30 KPGA golf players attempted in the TPI Level 1 test. Their performance was then compared with the test based on the players' aggregated official records on the KPGA website, The most meaningful prize money ranking, average driving distance, fairway landing rate, and average number of putts were considered to evaluate their performance. Additionally, to obtain the average value of the players' accumulated records, the period from the first game in March 2019 to the end of October was considered. Results : The criterion for the difference between the upper group and the lower group was set based on the 9 points of the TPI Level 1 test, which showed the most significant difference. The prize money ranking stood at 63.00±51.77 in the upper group and 113.92±68.79 in the lower group in the TPI Level 1 test, the difference was significantly higher (p<.05) for the upper group (p<.05). The average driving distance was 286.15±10.06 yds for the upper group and 277.39±8.49 yds for the lower group, group, with the driving distance significantly higher in the upper group (p<.05). Further, the average number of putts for the upper group was 1.81±.02 and 1.85±.04 for the lower group, indicating a significant difference. Conclusion : A higher TPI Level 1 test score is likely to have a positive effect on performance.. As a result of the statistical values of this study, it was found that players must possess at least 9 out of 17 types of physical abilities Therefore, it can be considered that training and intervention to acquire these physical abilities are essential.

뇌졸중 환자의 균형, 기능적 보행, 시지각, 일상생활 평가도구의 상관성 (The Correlations between the Balance Test, functional movement, Visual Perception Test and Functional Independent Measure in Stroke Patients)

  • 이동진;김성렬;송창호
    • The Journal of Korean Physical Therapy
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    • 제21권2호
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    • pp.39-45
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    • 2009
  • Purpose: The purpose of this study was to determine correlations between the Berg Balance Scale (BBS), Functional Reach Test (FRT), Timed Up & Go (TUG), Motor-Free Visual Perception Reach Test Vertical format (MVPT-V), Functional Independence Measure (FIM). Methods: The subjects used in this study were 35 stroke patients from Cheongju ST. Mary's hospital. Balance was measured by BBS, FRT. Functional mobility was measured by TUG. Visual perception was measured by MVPT-V. FIM was used to evaluate the activities of daily living. Data was analyzed using pearson product correlation. The TUG and MVPT-V index were analyzed by linear regression. Results: There was a statistically significant difference between FRT and BBS (r=0.89, p<0.01), FIM (r=0.74, p<0.05), MVPT-V (r=0.40, p<0.05), and TUG (r=-0.36, p<0.05). There was significant statistical differences between TUG and MVPT-V (r=-0.64, p<.01). However, statistically significant differences were observed between BBS and FIM (r=0.79, p<0.01). The visual close item of the MVPT-V showed the strongest variance in predicting TUG. Conclusion: The use of both quantitative and qualitive scales was shown to be a good measuring instrument for the classification of general clinical performances of stroke patients. In particular, the results suggest that the visual perception test may be able to predict functional locomotion in stroke patients.

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The Effects of Interferential Current and Kaltenborn-Evjenth Orthopedic Manual Therapy on Functional Constipation

  • Koo, Ja-Pung;An, Ho-Jung;Koo, Hee-Seo;Park, Ji-Hwan;Kim, Suhn-Yeop;Kim, Yong-Kwon;Choi, Jung-Hyun;Kim, Soon-Hee;Min, Kyung-Ok
    • 국제물리치료학회지
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    • 제1권1호
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    • pp.45-51
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    • 2010
  • 2 week study was conducted to investigate the effects of Interferential Current(IC) and Kaltenborn-Evjenth Orthopedic Manual Therapy(KEOMT) on functional constipation. Interventions were applied to spinal segments between $T_9-L_2$ which provides innervations to the gastrointestinal tract. Subjects(n=24) were randomly allocated to two treatment groups: the IC group or the KEOMT group. Results for the IC therapy demonstrated significant decrease with the colonic transit time(CTT) as well as scores on the constipation assessment scale(CAS). The frequency of defecations per week had increased significantly(p<0.05). The KEOMT displayed decreased CTT in the left colon region. The scores on the CAS were reduced and frequency of defecations per week had increased significantly (p<0.05). This study not only showed that both modes of therapy improved symptoms of constipation, but also optimized gastrointesti. nal content movement, eventuating in a more normalized CTT. In conclusion, both the IC therapy and the Kaltenborn-Evjenth Orthopedic Manual Therapy have shown to be effective interventions for improving functional constipation.

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인지적 요소가 포함된 과제 수행 시 젊은 성인과 노인의 동작 조절 비교 (Comparison of Cognitive Task-Directed Motor Control Ability in Younger and Older Subjects)

  • 이수아;최종덕
    • 대한물리의학회지
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    • 제12권1호
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    • pp.51-59
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    • 2017
  • PURPOSE: This study compared cognitive task-directed functional motor control ability for reaching and kicking movements in younger and older adults. METHODS: Subjects were divided into two groups of younger and older adults, with 13 subjects in each group. Subjects were required to perform a dual task combining a functional movement and cognitive component. The task consisted of reaching and kicking movements. Participants performed indicated movements when a target appeared on a monitor. The target randomly appeared on the monitor every 10 seconds. The total performance time (TPT), joint angular velocity (JAV), and muscle activation time were used to evaluate motor control ability. RESULTS: There were significant differences in all evaluation factors in a comparison of younger and older adults (p<.05). TPT was significantly shorter in older adults, and JAV and muscle activation time were significantly slower than that in the younger adult group. Although the results for older adults were within the normal range for functional assessment, their motor control abilities were significantly worse for cognitive tasks compared with those of younger adults. CONCLUSION: The results of this study indicated that a motor control assessment tool using a cognitive task would be helpful in assessment of motor control ability in healthy older adults.

편마비 환자의 비마비측 무릎 통증 부위에 기능적 테이핑과 협응적 이동 훈련 프로그램 적용이 낙상효능감과 균형에 미치는 효과 (Effects of Functional Taping and CLT Program on the Fall Efficacy and Balance of Stroke Patients with Knee Pain on the Non-affected Side)

  • 고효은;송현승;전보선
    • PNF and Movement
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    • 제14권3호
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    • pp.203-208
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    • 2016
  • Purpose: This study seeks to examine the effect of a program with functional taping and CLT on the program on fall efficacy and balance of stroke patients with knee pain on the non-affected side, as well as to develop effective programs and training methods to improve the functions of such patients. Methods: The subjects included 31 patients with hemiplegia caused by stroke. The subjects were randomly divided into an experimental group (n = 15), which participated in a program for functional taping and CLT, and a control group (n = 16), which participated in general exercise therapy. The control group underwent general exercise therapy for 30 minutes, three days per week for a six-week period. VAS, FES and TUG were conducted to evaluate changes in pain degree, fall efficacy, and balance. Results: After the intervention, significant differences (p < 0.05) were seen in the VAS, FES and TUG in both groups. The experimental group showed more significant improvement than the control group (p < 0.05). Conclusion: The results from this study indicate that the CLT program is extremely effective for improving fall efficacy and balance.

체간근력 강화운동에 의한 경직성 양하지 뇌성마비 아동의 대단위 운동 및 균형 능력 변화: 단일그룹 반복측정 연구 (The Changes of Gross Motor Function and Balance Ability in Children with Spastic Diplegic Cerebral Palsy by Trunk Muscle Strengthening Exercise : Single Group Repeated Measure Study)

  • 이은정;김종순
    • 대한물리의학회지
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    • 제6권2호
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    • pp.189-197
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    • 2011
  • Purpose: Trunk muscle weakness in the children with cerebral palsy can lead to postural and alignment problems, breathing difficulties, and so on. Therefore, children with cerebral palsy can benefit from exercises that strengthen the muscles in their trunks. The purpose of this study was to investigate the effects of trunk muscle strengthening exercise on functional gross movement and balance ability in children with spastic diplegic cerebral palsy. Methods: We used single group repeated measure design in 8 children(four males, four females; aged 6~12 years; mean 8.3 years) with diplegia. The functional gross motor outcome measured by using the GMFM and balance ability of all children was measured by pediatric balance scale. All participants were alternately received trunk strengthening exercise and neurodevelopment treatment for 40 minutes twice per week during 8 weeks. Results: Significant and clinical meaningful improvement in functional gross motor and balance ability were shown. Conclusion: The results indicate that trunk strengthening exercise has a positive effect on both functional gross motor and balance ability in children with spastic diaplegic cerebral palsy.